2026 NPPES data Orthopaedic Hand Surgery Physician NPI 1487633384 MD
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JOEL NILSSON, MD

Orthopaedic Hand Surgery Physician in BOERNE, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
135
Medicare Part D claims · 75 beneficiaries · Orthopaedic Hand Surgery Physician avg: 180
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$430.43
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOEL NILSSON, MD is a Orthopaedic Hand Surgery Physician ([object Object]) practicing in BOERNE, Texas with a Medicare Part D prescribing footprint of 135 claims across 75 beneficiaries . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $430.43 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOEL NILSSON, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 135 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOEL NILSSON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOEL NILSSON, MD at a glance

Below national average

NPI registry status

Active

Issued 01/10/2006

NPI 1487633384

Primary specialty

Orthopaedic Hand Surgery Physician

Niche

1,962 US NPIs in this specialty

Medicare Part D claims

135 25% vs specialty avg

2023 prescription claims

Specialty avg: 180

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Orthopaedic Hand Surgery Physician compares to other specialties among Texas providers

Texas providers

Orthopaedic Hand Surgery Physician share within Texas

1. Orthopaedic Hand Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Hand Surgery Physician share within Texas

Medicare quality performance — MIPS

JOEL NILSSON, MD's 2023 MIPS final score plotted against the Orthopaedic Hand Surgery Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Hand Surgery Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Orthopaedic Hand Surgery Physician) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOEL NILSSON, MD is a Orthopaedic Hand Surgery Physician provider practicing in BOERNE, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1487633384. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOEL NILSSON, MD appears in the CMS NPPES registry as a Orthopaedic Hand Surgery Physician provider holding MD credentials at 110 E BANDERA RD, BOERNE, TX, 78006, with a listed phone of (210) 481-1700. NPI 1487633384 was issued on 01/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NILSSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 135 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $14K in drug spend, with an opioid prescribing rate of 84.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Orthopaedic Hand Surgery Physician is a narrow specialty nationwide, with 1,962 enrolled providers across 52 states and an average of 180 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

110 E BANDERA RD
BOERNE, TX 78006

Provider Details

NPI 1487633384
Specialty Orthopaedic Hand Surgery Physician
Credentials MD
Gender Male
NPI Issued 01/10/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JOEL NILSSON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ALPHA AND OMEGA ORTHOPEDICS PLLC
SAN ANTONIO, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOEL NILSSON, MD. Source: openpaymentsdata.cms.gov.

Total received

$430

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to JOEL NILSSON, MD. To verify JOEL NILSSON, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

135
Total Claims
$14K
Total Drug Cost
75
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
135
Total Day Supply
1,031
Generic Drug Cost
$878
Opioid Claims
114 (84.4% rate)

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.21
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tramadol Hcl
52
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
47
Acetaminophen-Codeine
Acetaminophen With Codeine
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Hand Surgery Physician Overview

How JOEL NILSSON, MD fits within the Orthopaedic Hand Surgery Physician landscape nationally.

1,962
Orthopaedic Hand Surgery Physician Providers in US
52
States with Orthopaedic Hand Surgery Physician
180
Avg Claims per Provider

JOEL NILSSON, MD's 135 claims are below the specialty average of 180.

Nearby Orthopaedic Hand Surgery Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as NILSSON.

Compare Orthopaedic Hand Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOEL NILSSON, MD's specialty?
JOEL NILSSON, MD specializes in Orthopaedic Hand Surgery Physician and practices in BOERNE, Texas. Credentials: MD.
How much does JOEL NILSSON, MD prescribe under Medicare Part D?
In 2023, JOEL NILSSON, MD wrote 135 Medicare Part D claims totaling $14K in drug costs for 75 beneficiaries.
What is JOEL NILSSON, MD's Medicare quality score?
JOEL NILSSON, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOEL NILSSON, MD located?
JOEL NILSSON, MD is located at 110 E BANDERA RD, BOERNE, TX, 78006. Phone: (210) 481-1700.
What is JOEL NILSSON, MD's NPI number?
JOEL NILSSON, MD's National Provider Identifier (NPI) is 1487633384, issued on 01/10/2006.
Does JOEL NILSSON, MD prescribe opioids?
Yes, JOEL NILSSON, MD had 114 opioid claims in 2023 with an opioid prescribing rate of 84.4%.
How many Orthopaedic Hand Surgery Physician providers are there in the US?
There are 1,962 Orthopaedic Hand Surgery Physician providers across 52 states in the US. The average Orthopaedic Hand Surgery Physician provider writes 180 Medicare Part D claims per year.
What drugs does JOEL NILSSON, MD prescribe most often?
Based on 2023 Medicare Part D data, JOEL NILSSON, MD's most frequently prescribed drugs include Tramadol Hcl, Hydrocodone-Acetaminophen, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOEL NILSSON, MD accept Medicare?
JOEL NILSSON, MD appears in CMS Medicare data with 135 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOEL NILSSON, MD's credentials?
JOEL NILSSON, MD's NPI is 1487633384 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology